﻿<%@ Page Title="" Language="C#" MasterPageFile="~/MasterPage2.master" AutoEventWireup="true" CodeFile="Company_Registration_Form.aspx.cs" Inherits="copycomany" %><%@ Register assembly="Telerik.Web.UI" namespace="Telerik.Web.UI" tagprefix="telerik" %>

<asp:Content ID="Content1" ContentPlaceHolderID="head" Runat="Server">
    <style type="text/css">
        .style1
        {
            width: 100%;
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        .style2
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        .style3
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            width: 298px;
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        .style4
        {
            width: 227px;
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        .style5
        {
            width: 159px;
            height: 62px;
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        .style6
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            width: 298px;
            height: 62px;
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        .style7
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            width: 227px;
            height: 62px;
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        .style8
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            height: 62px;
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        .style9
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        .style10
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            width: 159px;
            height: 40px;
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        .style11
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            width: 298px;
            height: 40px;
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        .style12
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            width: 227px;
            height: 40px;
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        .style13
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            height: 40px;
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        .style14
        {
            width: 159px;
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        .style15
        {
            width: 359px;
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        .style16
        {
            width: 359px;
            height: 40px;
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        .style17
        {
            width: 359px;
            height: 62px;
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</asp:Content>
<asp:Content ID="Content2" ContentPlaceHolderID="MainContent" Runat="Server">
    <table class="style1">
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                &nbsp;</td>
            <td class="style3" style="text-align: left">
                &nbsp;</td>
            <td class="style4">
                &nbsp;</td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                &nbsp;</td>
            <td class="style3" style="text-align: left">
                &nbsp;</td>
            <td class="style4">
                &nbsp;</td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                &nbsp;</td>
            <td class="style3" style="text-align: left">
                &nbsp;</td>
            <td class="style4">
                &nbsp;</td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                &nbsp;</td>
            <td class="style3" style="text-align: left">
                &nbsp;</td>
            <td class="style4">
                &nbsp;</td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style2" colspan="2" style="text-align: left">
                <h2>COMPANY REGISTRATION FORM</h2></td>
            <td class="style4">
                &nbsp;</td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                &nbsp;</td>
            <td class="style3" style="text-align: left">
                &nbsp;</td>
            <td class="style4">
                &nbsp;</td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                &nbsp;</td>
            <td class="style3" style="text-align: left">
                &nbsp;</td>
            <td class="style4">
                &nbsp;</td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                LEGAL NAME (IN ENGLISH)</td>
            <td class="style3" style="text-align: left">
                &nbsp;</td>
            <td class="style4">
                &nbsp;</td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style16" style="text-align: right">
                &nbsp;</td>
            <td class="style10" style="text-align: left">
                </td>
            <td class="style11" style="text-align: left">
                </td>
            <td class="style12">
                </td>
            <td class="style13">
                </td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                Company Name*:</td>
            <td class="style3" style="text-align: left">
                <telerik:RadTextBox ID="TextBoxComanyName" Runat="server" Width="200px">
                </telerik:RadTextBox>
            </td>
            <td class="style4">
                <asp:RequiredFieldValidator ID="RequiredFieldValidator1" runat="server" 
                    ControlToValidate="TextBoxComanyName" ErrorMessage="Please Enter Company Name"></asp:RequiredFieldValidator>
            </td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                Cheque Name:</td>
            <td class="style3" style="text-align: left">
                <telerik:RadTextBox ID="TextBoxChequeName" Runat="server" Width="200px">
                </telerik:RadTextBox>
            </td>
            <td class="style4">
                &nbsp;</td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                Contact Person*:</td>
            <td class="style3" style="text-align: left">
                <telerik:RadTextBox ID="TextBoxContactPerson" Runat="server" Width="200px">
                </telerik:RadTextBox>
            </td>
            <td class="style4">
                <asp:RequiredFieldValidator ID="RequiredFieldValidator2" runat="server" 
                    ControlToValidate="TextBoxContactPerson" 
                    ErrorMessage="Please Enter Contact Person"></asp:RequiredFieldValidator>
            </td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                Position*:</td>
            <td class="style3" style="text-align: left">
                &nbsp;</td>
            <td class="style4">
                &nbsp;</td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                Other Position:</td>
            <td class="style3" style="text-align: left">
                <telerik:RadTextBox ID="TextBoxOtherPos" Runat="server" Width="200px">
                </telerik:RadTextBox>
            </td>
            <td class="style4">
                &nbsp;</td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                &nbsp;</td>
            <td class="style3" style="text-align: left">
                &nbsp;</td>
            <td class="style4">
                &nbsp;</td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                CONTACT ADDRESS</td>
            <td class="style3" style="text-align: left">
                &nbsp;</td>
            <td class="style4">
                &nbsp;</td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                &nbsp;</td>
            <td class="style3" style="text-align: left">
                &nbsp;</td>
            <td class="style4">
                &nbsp;</td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                Address 1*:</td>
            <td class="style3" style="text-align: left">
                <telerik:RadTextBox ID="TextBoxAdd1" Runat="server" Width="200px">
                </telerik:RadTextBox>
            </td>
            <td class="style4">
                <asp:RequiredFieldValidator ID="RequiredFieldValidator3" runat="server" 
                    ControlToValidate="TextBoxAdd1" ErrorMessage="Please Enter Address 1"></asp:RequiredFieldValidator>
            </td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                Address 2*:</td>
            <td class="style3" style="text-align: left">
                <telerik:RadTextBox ID="TextBoxAdd2" Runat="server" Width="200px">
                </telerik:RadTextBox>
            </td>
            <td class="style4">
                <asp:RequiredFieldValidator ID="RequiredFieldValidator4" runat="server" 
                    ControlToValidate="TextBoxAdd2" ErrorMessage="Please Enter Address 2"></asp:RequiredFieldValidator>
            </td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                Town/City*:</td>
            <td class="style3" style="text-align: left">
                <telerik:RadTextBox ID="TextBoxTownCity" Runat="server" Width="200px">
                </telerik:RadTextBox>
            </td>
            <td class="style4">
                <asp:RequiredFieldValidator ID="RequiredFieldValidator5" runat="server" 
                    ControlToValidate="TextBoxTownCity" ErrorMessage="Please Enter Town/City"></asp:RequiredFieldValidator>
            </td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                State/Province:</td>
            <td class="style3" style="text-align: left">
                <telerik:RadTextBox ID="TextBoxState" Runat="server" Width="200px">
                </telerik:RadTextBox>
            </td>
            <td class="style4">
                &nbsp;</td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                Postal/Zip Code*:</td>
            <td class="style3" style="text-align: left">
                <telerik:RadTextBox ID="TextBoxZipCode" Runat="server" Width="200px">
                </telerik:RadTextBox>
            </td>
            <td class="style4">
                <asp:RequiredFieldValidator ID="RequiredFieldValidator6" runat="server" 
                    ControlToValidate="TextBoxZipCode" ErrorMessage="Please Enter Zip Code"></asp:RequiredFieldValidator>
            </td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                Country:</td>
            <td class="style3" style="text-align: left">
                &nbsp;</td>
            <td class="style4">
                &nbsp;</td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style9" style="text-align: left" colspan="2">
                <asp:Label ID="Label1" runat="server" Font-Size="Small" ForeColor="Blue" 
                    Text="Note:Please use the format - CountryCode + Area Code + Phone Number. "></asp:Label>
                <br />
                <asp:Label ID="Label2" runat="server" Font-Size="Small" ForeColor="Blue" 
                    Text="Do not include non-numeric characters. EG. for Australia : 61291239876"></asp:Label>
            </td>
            <td class="style4">
                &nbsp;</td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                Home Phone No.*:</td>
            <td class="style3" style="text-align: left">
                <telerik:RadTextBox ID="TextBoxHomePhone" Runat="server" Width="200px">
                </telerik:RadTextBox>
            </td>
            <td class="style4">
                <asp:RequiredFieldValidator ID="RequiredFieldValidator7" runat="server" 
                    ControlToValidate="TextBoxHomePhone" 
                    ErrorMessage="Please Enter Home Phone Number"></asp:RequiredFieldValidator>
            </td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                Fax No.:</td>
            <td class="style3" style="text-align: left">
                <telerik:RadTextBox ID="TextBoxFax" Runat="server" Width="200px">
                </telerik:RadTextBox>
            </td>
            <td class="style4">
                &nbsp;</td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                Office Phone No.*:</td>
            <td class="style3" style="text-align: left">
                <telerik:RadTextBox ID="TextBoxOfficeNo" Runat="server" Width="200px">
                </telerik:RadTextBox>
            </td>
            <td class="style4">
                <asp:RequiredFieldValidator ID="RequiredFieldValidator8" runat="server" 
                    ControlToValidate="TextBoxOfficeNo" ErrorMessage="Please Enter Office Phone No"></asp:RequiredFieldValidator>
            </td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                Mobile Phone No.*:</td>
            <td class="style3" style="text-align: left">
                <telerik:RadTextBox ID="TextBoxMobileNo" Runat="server" Width="200px">
                </telerik:RadTextBox>
            </td>
            <td class="style4">
                <asp:RequiredFieldValidator ID="RequiredFieldValidator9" runat="server" 
                    ControlToValidate="TextBoxMobileNo" ErrorMessage="Please Enter Mobile No"></asp:RequiredFieldValidator>
            </td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                eMail Address*:</td>
            <td class="style3" style="text-align: left">
                <telerik:RadTextBox ID="TextBoxEmail" Runat="server" Width="200px">
                </telerik:RadTextBox>
            </td>
            <td class="style4">
                <asp:RequiredFieldValidator ID="RequiredFieldValidator10" runat="server" 
                    ControlToValidate="TextBoxEmail" ErrorMessage="Please Enter Email Address"></asp:RequiredFieldValidator>
            </td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style17" style="text-align: right">
                &nbsp;</td>
            <td class="style5" style="text-align: left">
                Retype eMail*:</td>
            <td class="style6" style="text-align: left">
                <telerik:RadTextBox ID="TextBoxREmail" Runat="server" Width="200px">
                </telerik:RadTextBox>
            </td>
            <td class="style7">
                <asp:RequiredFieldValidator ID="RequiredFieldValidator11" runat="server" 
                    ControlToValidate="TextBoxREmail" ErrorMessage="Please Retype your Email"></asp:RequiredFieldValidator>
            </td>
            <td class="style8">
            </td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                &nbsp;</td>
            <td class="style3" style="text-align: left">
                &nbsp;</td>
            <td class="style4">
                &nbsp;</td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                COMPANY DETAILS</td>
            <td class="style3" style="text-align: left">
                &nbsp;</td>
            <td class="style4">
                &nbsp;</td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                &nbsp;</td>
            <td class="style3" style="text-align: left">
                &nbsp;</td>
            <td class="style4">
                &nbsp;</td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                Type of Business*:</td>
            <td class="style3" style="text-align: left">
                <telerik:RadTextBox ID="TextBoxTypeofBusiness" Runat="server" Width="200px">
                </telerik:RadTextBox>
            </td>
            <td class="style4">
                <asp:RequiredFieldValidator ID="RequiredFieldValidator12" runat="server" 
                    ControlToValidate="TextBoxTypeofBusiness" 
                    ErrorMessage="Please Enter Type of Business"></asp:RequiredFieldValidator>
            </td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                Valid ID Type*:</td>
            <td class="style3" style="text-align: left">
                &nbsp;</td>
            <td class="style4">
                &nbsp;</td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                Registered Date</td>
            <td class="style3" style="text-align: left">
                <telerik:RadTextBox ID="TextBoxRegDate" Runat="server" Width="200px">
                </telerik:RadTextBox>
            </td>
            <td class="style4">
                &nbsp;</td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                Reg.Country</td>
            <td class="style3" style="text-align: left">
                <telerik:RadTextBox ID="TextBoxRegCountry" Runat="server" Width="200px">
                </telerik:RadTextBox>
            </td>
            <td class="style4">
                &nbsp;</td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                &nbsp;</td>
            <td class="style3" style="text-align: left">
                &nbsp;</td>
            <td class="style4">
                &nbsp;</td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                SHIPPING ADDRESS</td>
            <td class="style3" style="text-align: left">
                <asp:CheckBox ID="CheckBox1" runat="server" Text="Same as above" 
                    Width="130px" />
            </td>
            <td class="style4">
                &nbsp;</td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                &nbsp;</td>
            <td class="style3" style="text-align: left">
                &nbsp;</td>
            <td class="style4">
                &nbsp;</td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                Contact Person*:</td>
            <td class="style3" style="text-align: left">
                <telerik:RadTextBox ID="ShipTextBoxContact" Runat="server" Width="200px">
                </telerik:RadTextBox>
            </td>
            <td class="style4">
                <asp:RequiredFieldValidator ID="RequiredFieldValidator13" runat="server" 
                    ControlToValidate="ShipTextBoxContact" 
                    ErrorMessage="Please Enter Contact Person"></asp:RequiredFieldValidator>
            </td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                Address 1*:</td>
            <td class="style3" style="text-align: left">
                <telerik:RadTextBox ID="ShipTextBoxAdd1" Runat="server" Width="200px">
                </telerik:RadTextBox>
            </td>
            <td class="style4">
                <asp:RequiredFieldValidator ID="RequiredFieldValidator14" runat="server" 
                    ControlToValidate="ShipTextBoxAdd1" ErrorMessage="Please Enter Address 1"></asp:RequiredFieldValidator>
            </td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                Address 2:</td>
            <td class="style3" style="text-align: left">
                <telerik:RadTextBox ID="ShipTextBoxAdd2" Runat="server" Width="200px">
                </telerik:RadTextBox>
            </td>
            <td class="style4">
                &nbsp;</td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                Town/City*:</td>
            <td class="style3" style="text-align: left">
                <telerik:RadTextBox ID="ShipTextBoxTownCity" Runat="server" Width="200px">
                </telerik:RadTextBox>
            </td>
            <td class="style4">
                <asp:RequiredFieldValidator ID="RequiredFieldValidator15" runat="server" 
                    ControlToValidate="ShipTextBoxTownCity" ErrorMessage="Please Enter Town/City"></asp:RequiredFieldValidator>
            </td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                State/Province:</td>
            <td class="style3" style="text-align: left">
                <telerik:RadTextBox ID="ShipTextBoxState" Runat="server" Width="200px">
                </telerik:RadTextBox>
            </td>
            <td class="style4">
                &nbsp;</td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                Postal/Zip Code*:</td>
            <td class="style3" style="text-align: left">
                <telerik:RadTextBox ID="ShipTextBoxZipCode" Runat="server" Width="200px">
                </telerik:RadTextBox>
            </td>
            <td class="style4">
                <asp:RequiredFieldValidator ID="RequiredFieldValidator16" runat="server" 
                    ControlToValidate="ShipTextBoxZipCode" ErrorMessage="Please Enter Zip Code"></asp:RequiredFieldValidator>
            </td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                Country*:</td>
            <td class="style3" style="text-align: left">
                &nbsp;</td>
            <td class="style4">
                &nbsp;</td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                Phone No*:</td>
            <td class="style3" style="text-align: left">
                <telerik:RadTextBox ID="ShipTextBoxPhone" Runat="server" Width="200px">
                </telerik:RadTextBox>
            </td>
            <td class="style4">
                <asp:RequiredFieldValidator ID="RequiredFieldValidator17" runat="server" 
                    ControlToValidate="ShipTextBoxPhone" ErrorMessage="Please Enter Phone No"></asp:RequiredFieldValidator>
            </td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                Mobile No*:</td>
            <td class="style3" style="text-align: left">
                <telerik:RadTextBox ID="ShipTextBoxMobile" Runat="server" Width="200px">
                </telerik:RadTextBox>
            </td>
            <td class="style4">
                <asp:RequiredFieldValidator ID="RequiredFieldValidator18" runat="server" 
                    ControlToValidate="ShipTextBoxMobile" ErrorMessage="Please Enter Mobile No"></asp:RequiredFieldValidator>
            </td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                eMail Address*:</td>
            <td class="style3" style="text-align: left">
                <telerik:RadTextBox ID="ShipTextBoxEmail" Runat="server" Width="200px">
                </telerik:RadTextBox>
            </td>
            <td class="style4">
                <asp:RequiredFieldValidator ID="RequiredFieldValidator19" runat="server" 
                    ControlToValidate="ShipTextBoxEmail" ErrorMessage="Please Enter Email Address"></asp:RequiredFieldValidator>
            </td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                &nbsp;</td>
            <td class="style3" style="text-align: left">
                &nbsp;</td>
            <td class="style4">
                &nbsp;</td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                PREFERED CORRESPONDENCE LANGUAGE</td>
            <td class="style3" style="text-align: left">
                &nbsp;</td>
            <td class="style4">
                &nbsp;</td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                &nbsp;</td>
            <td class="style3" style="text-align: left">
                &nbsp;</td>
            <td class="style4">
                &nbsp;</td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                Preferred Correspondence Language*:</td>
            <td class="style3" style="text-align: left">
                &nbsp;</td>
            <td class="style4">
                &nbsp;</td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                &nbsp;</td>
            <td class="style3" style="text-align: left">
                &nbsp;</td>
            <td class="style4">
                &nbsp;</td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                Q ACCOUNT SECURITY QUESTIONS</td>
            <td class="style3" style="text-align: left">
                &nbsp;</td>
            <td class="style4">
                &nbsp;</td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                &nbsp;</td>
            <td class="style3" style="text-align: left">
                &nbsp;</td>
            <td class="style4">
                &nbsp;</td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                Security Question*:</td>
            <td class="style3" style="text-align: left">
                &nbsp;</td>
            <td class="style4">
                &nbsp;</td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                Your Answer*:</td>
            <td class="style3" style="text-align: left">
                <telerik:RadTextBox ID="TextBoxSA" Runat="server" Width="200px">
                </telerik:RadTextBox>
            </td>
            <td class="style4">
                <asp:RequiredFieldValidator ID="RequiredFieldValidator21" runat="server" 
                    ControlToValidate="TextBoxSA" ErrorMessage="Please Enter Your Answer"></asp:RequiredFieldValidator>
            </td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                Security Word*:</td>
            <td class="style3" style="text-align: left">
                <telerik:RadTextBox ID="TextBoxSW" Runat="server" Width="200px">
                </telerik:RadTextBox>
            </td>
            <td class="style4">
                <asp:RequiredFieldValidator ID="RequiredFieldValidator22" runat="server" 
                    ControlToValidate="TextBoxSW" ErrorMessage="Please Enter Security Word"></asp:RequiredFieldValidator>
            </td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                &nbsp;</td>
            <td class="style3" style="text-align: left">
                &nbsp;</td>
            <td class="style4">
                &nbsp;</td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                CHOOSE A Q ACCOUNT PIN</td>
            <td class="style3" style="text-align: left">
                &nbsp;</td>
            <td class="style4">
                &nbsp;</td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                &nbsp;</td>
            <td class="style3" style="text-align: left">
                &nbsp;</td>
            <td class="style4">
                &nbsp;</td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                QA Pin*:</td>
            <td class="style3" style="text-align: left">
                <telerik:RadTextBox ID="TextBoxQAPin" Runat="server" Width="200px">
                </telerik:RadTextBox>
            </td>
            <td class="style4">
                <asp:RequiredFieldValidator ID="RequiredFieldValidator23" runat="server" 
                    ControlToValidate="TextBoxQAPin" ErrorMessage="Please Enter QA Pin"></asp:RequiredFieldValidator>
            </td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                Retype QA Pin*:</td>
            <td class="style3" style="text-align: left">
                <telerik:RadTextBox ID="TextBoxRQAPin" Runat="server" Width="200px">
                </telerik:RadTextBox>
            </td>
            <td class="style4">
                <asp:RequiredFieldValidator ID="RequiredFieldValidator24" runat="server" 
                    ControlToValidate="TextBoxRQAPin" ErrorMessage="Please Retype QA Pin"></asp:RequiredFieldValidator>
            </td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                &nbsp;</td>
            <td class="style3" style="text-align: left">
                &nbsp;</td>
            <td class="style4">
                &nbsp;</td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                CHOOSE A PASSWORD</td>
            <td class="style3" style="text-align: left">
                &nbsp;</td>
            <td class="style4">
                &nbsp;</td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                &nbsp;</td>
            <td class="style3" style="text-align: left">
                &nbsp;</td>
            <td class="style4">
                &nbsp;</td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                Password*:</td>
            <td class="style3" style="text-align: left">
                <telerik:RadTextBox ID="TextBoxPass" Runat="server" Width="200px">
                </telerik:RadTextBox>
            </td>
            <td class="style4">
                <asp:RequiredFieldValidator ID="RequiredFieldValidator25" runat="server" 
                    ControlToValidate="TextBoxPass" ErrorMessage="Please Enter Password"></asp:RequiredFieldValidator>
            </td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                Retype Password*:</td>
            <td class="style3" style="text-align: left">
                <telerik:RadTextBox ID="TextBoxRPass" Runat="server" Width="200px">
                </telerik:RadTextBox>
            </td>
            <td class="style4">
                <asp:RequiredFieldValidator ID="RequiredFieldValidator26" runat="server" 
                    ControlToValidate="TextBoxRPass" ErrorMessage="Please Retype your Password"></asp:RequiredFieldValidator>
            </td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                &nbsp;</td>
            <td class="style3" style="text-align: left">
                &nbsp;</td>
            <td class="style4">
                &nbsp;</td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                PERSONAL WEBSITE URL</td>
            <td class="style3" style="text-align: left">
                &nbsp;</td>
            <td class="style4">
                &nbsp;</td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                &nbsp;</td>
            <td class="style3" style="text-align: left">
                &nbsp;</td>
            <td class="style4">
                &nbsp;</td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                URL*:</td>
            <td class="style3" style="text-align: left">
                http://<telerik:RadTextBox ID="TextBoxURL" Runat="server" Width="100px">
                </telerik:RadTextBox>
                bestlife.lk</td>
            <td class="style4">
                <asp:RequiredFieldValidator ID="RequiredFieldValidator27" runat="server" 
                    ControlToValidate="TextBoxURL" ErrorMessage="Please Enter URL"></asp:RequiredFieldValidator>
            </td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                &nbsp;</td>
            <td class="style3" style="text-align: left">
                &nbsp;</td>
            <td class="style4">
                &nbsp;</td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                &nbsp;</td>
            <td class="style3" style="text-align: left">
                &nbsp;</td>
            <td class="style4">
                &nbsp;</td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                &nbsp;</td>
            <td class="style3" style="text-align: left">
                &nbsp;</td>
            <td class="style4">
                &nbsp;</td>
            <td>
                &nbsp;</td>
        </tr>
        <tr>
            <td class="style15" style="text-align: right">
                &nbsp;</td>
            <td class="style14" style="text-align: left">
                &nbsp;</td>
            <td class="style3" style="text-align: left">
                &nbsp;</td>
            <td class="style4">
                &nbsp;</td>
            <td>
                &nbsp;</td>
        </tr>
    </table>
</asp:Content>

